This manual brings together hard-to-find information about risk adjustment (RA) coding and HCCs. Now your organization can get the “big picture” along with the fine detail on how this complex system works. Know the rules for coding and reporting to CMS, plus get specific optimization directions not available from CMS or any other source. More than one third of Medicare beneficiaries are enrolled in risk adjusted member plans, and millions more are covered in risk adjusted commercial plans. Despite this explosive growth in risk adjustment and HCCs, there hasn’t been a comprehensive educational source—until now!!
Key Features and Benefits
- New—Understand why risk adjustment coding is now at the top of coding and documentation initiatives for major providers and payers
- Know the coding, patient eligibility and documentation elements that are unique to HCCs
- Optum360 Edge—See how to leverage the documentation and coding issues to optimize reporting and payments under the HCC system.
- Get the hard-to-find answers to vital questions about RA and HCCs.